门和相关的传染性内心炎的超导管真空吸收
Gauravpal S Gill1, Teja Chakrala2, Arun Kanmanthareddy1
1Division of Cardiovascular Disease, Creighton University School of Medicine, Omaha, NE, USA.
概括
透导管吸收有效地去除感染性内心炎中的植被,显示了和膜感染的可接受成功率. 需要进一步的研究来确定患者预测因子,以获得最佳的结果并最大限度地减少并发症.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 感染性内心炎的治疗方法
背景情况:
- 过导管吸收用于高风险患者的血栓和植被去除.
- 自2012年以来,AngioVac系统已用于内心炎治疗.
- 有限的综合数据存在于患者选择,安全性,和在内心炎的这个程序的结果.
研究的目的:
- 系统地审查现有的关于透导管吸收用于内心炎植被去除的数据.
- 分析患者的特征,程序的结果和与此技术相关的并发症.
主要方法:
- 对PubMed和谷歌学者数据库进行了系统审查.
- 包括报道透导管吸收内心炎植被脱皮或移除的出版物.
- 提取和分析了患者人口统计,结果和并发症的数据.
主要成果:
- 分析了11篇出版物中的232名患者的数据.
- 在 (86%的成功率) 和膜 (50-85%的尺寸缩小) 内心炎中都取得了成功的植被去除.
- 并发症包括膜吐恶化 (14%),持续性细菌病 (8%) 和住院死亡率 (11%为膜,6%为).
结论:
- 过导管吸入显示了可接受的成功率,在感染性内心炎的植被脱落.
- 患病率和死亡率被认为是可以接受的,但需要进一步调查.
- 需要进行前性的多中心研究,以确定并发症预测因子,并优化患者选择.
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